One 24 years old female patient who suffered extremely severe
burn in the third trimester of pregnancy was admitted to the Department of
Burns and Skin Repair Surgery of the Third Affiliated Hospital of Wenzhou Medical University on 9th May, 2015. Intrauterine distress occurred after injury and
stillbirth was confirmed within 12 hours. In cooperation with the obstetrician, the labor was induced on post injury day (PID) 5.
Septic shock and
multiple organ dysfunction syndrome occurred on PID 8. Through treatments including anti-
infection,
ventilator-assisted ventilation,
cardiotonic diuresis, and escharectomy and
skin grafting, the patient was finally cured. This case indicates that it is crucial to grasp the right time and choose a reasonable
induction of labor to deal with
stillbirth. The scheme of transvaginal
induction of labor after
shock is a worthy question to explore. The main characteristics of this patient include the extreme paroxysmal changes in breath, circulation, and urine volume within 24 hours after
induced labor, which should be monitored dynamically for effective and timely adjustment of respiratory circulation support. This may be another key point for the rescue of this type of patient. To seize the opportunities to perform escharectomy, cover the
wound with xenogenic skin graft, and perform
skin grafting in time for
wound repair remain the top priority.